American Journal of Health Research

| Peer-Reviewed |

Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic

Received: 27 December 2021    Accepted: 09 February 2022    Published: 18 March 2022
Views:       Downloads:

Share This Article

Abstract

Background: Developmental Dysplasia of the hip (DDH) is a condition where the head of the femur is dislocated from its normal position and is usually diagnosed in the new-born. In this study we present a case of missed DDH in a 17-month-old child with characteristic X ray findings, to increase its awareness as early diagnosis and treatment can limit disability. Case information: A 17-month-old female child was brought to Urgent Care Centre by her granddad as he noticed that the child was limping. The child was born during the pandemic and the health visitor checks were all over the phone. There was no history of any trauma. Radiographic appearances were consistent with developmental dysplasia of the right hip. Discussion: DDH is usually diagnosed at birth, however, missed cases can occur due to lack of repeated clinical examinations especially in view of the pandemic. Early diagnosis and treatment are very important as timely reduction permits normal modelling of the acetabulum and femoral head. Physical examination is the key in the diagnosis of DDH. Conclusion: Careful, repeated face to face clinical examination by healthcare provider in contact with the infant is essential throughout the first year of life to diagnose DDH early.

DOI 10.11648/j.ajhr.20221002.12
Published in American Journal of Health Research (Volume 10, Issue 2, March 2022)
Page(s) 33-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Dysplasia, Congenital, Acetabulum, Dislocation, Hip, Femur

References
[1] Loder RT, Skopelja EN. The Epidemiology and Demographics of Hip Dysplasia. ISRN Orthopedics 20 11; 23: 86-87.
[2] Loder RT, Shafer C. Seasonal variation in children with developmental dysplasia of the hip. Journal o/Children's Orthopaedics 2014; 8 (1): 11-22.
[3] Kitchen RG, Mierau D, Cassidy JD, Dupuis P. Congenital dislocation of the hip and adult low-back pain: a report of 3 cases. JCCA 1988; 32: 11-15.
[4] Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop 1987; 225: 62-76.
[5] Derosa GP, Feller N. Treatment of congenital dislocation of the hip: management before walking age. Clin Orthop 1987; 225: 77-85.
[6] Alexander JE, Fitzrandolph RL, McConnell JR. The limping child. Curr Probl Diag Radiol 1987; 16: 229-270.
[7] Zebala LP, Schoenecker PL, Clohisy JC. Anterior Femoroacetabular Impingement: A Diverse Disease with Evolving Treatment Options. The Iowa Orthopaedic Journal. 2007; 27: 71-81.
[8] Hunt D, Prather H, Harris Hayes M, Clohisy JC. Clinical Outcomes Analysis of Conservative and Surgical Treatment of Patients with Clinical Indications of Prearthritic, Intra-articular Hip Disorders. PM & R: the journal of injury, function, and rehabilitation. 2012; 4 (7): 479-487. doi: 1 0.1016/j.pl11lj.2012.03.012.
[9] Mohtadi, N. G. H. Et. AI. The Development and Validation ofa Self-Administered Quality-of-Life Outcome Measure for Young, Active Patients With Symptomatic Hip Disease: The International Hip Outcome Tool (iHOT-33). The Journal of Arthroscopic and Related Surgery. 2012; 28 (5): 595-610.
[10] D. D. Aronsson, M. J. Goldberg, T. F. Kling Jr., et al. Developmental dysplasia of the hip Pediatrics, 94 (1994), pp. 201-208.
[11] R. T. Loder, E. N. Skopelja The epidemiology and demographics of hip dysplasia ISRN Orthop, 2011 (2011), p. 238607.
[12] Shorter. D, Hong. T, Osborne D. Screening progranunes for developmental dysplasia of the hip in newborn infants. Journal of Evidence Based Child Health. 2013; 8 (1): 11-54.
[13] International Hip Dysplasia Institute. [Online resources] Available from: http://hipdysplasia.org.
[14] American Academy of Orthopaedic Surgeons. [Online resources] Available from: http://orthoinfo.aaos.org/main.cfm.
[15] Pediatric Orthopaedic Society of North America. [Online resources] Available from: http://posna.org/.
[16] Bache CE, Clegg J, Herron M. Risk factors for developmental dysplasia of the hip: ultrasonographic findings in the neonatal period. J Pediatr Orthop B. 2002; 11: 212–218. [PubMed] [Google Scholar].
Author Information
  • Gtd Healthcare, Royal Preston Hospital, University of Central Lancashire, Preston, UK

  • Gtd Healthcare, Royal Preston Hospital, University of Central Lancashire, Preston, UK

  • Gtd Healthcare, Royal Preston Hospital, University of Central Lancashire, Preston, UK

  • Gtd Healthcare, Royal Preston Hospital, University of Central Lancashire, Preston, UK

Cite This Article
  • APA Style

    Atif Mukhtar, Tom Jose, Ayotunde Oguntade, Thomas Mathew. (2022). Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic. American Journal of Health Research, 10(2), 33-35. https://doi.org/10.11648/j.ajhr.20221002.12

    Copy | Download

    ACS Style

    Atif Mukhtar; Tom Jose; Ayotunde Oguntade; Thomas Mathew. Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic. Am. J. Health Res. 2022, 10(2), 33-35. doi: 10.11648/j.ajhr.20221002.12

    Copy | Download

    AMA Style

    Atif Mukhtar, Tom Jose, Ayotunde Oguntade, Thomas Mathew. Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic. Am J Health Res. 2022;10(2):33-35. doi: 10.11648/j.ajhr.20221002.12

    Copy | Download

  • @article{10.11648/j.ajhr.20221002.12,
      author = {Atif Mukhtar and Tom Jose and Ayotunde Oguntade and Thomas Mathew},
      title = {Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic},
      journal = {American Journal of Health Research},
      volume = {10},
      number = {2},
      pages = {33-35},
      doi = {10.11648/j.ajhr.20221002.12},
      url = {https://doi.org/10.11648/j.ajhr.20221002.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajhr.20221002.12},
      abstract = {Background: Developmental Dysplasia of the hip (DDH) is a condition where the head of the femur is dislocated from its normal position and is usually diagnosed in the new-born. In this study we present a case of missed DDH in a 17-month-old child with characteristic X ray findings, to increase its awareness as early diagnosis and treatment can limit disability. Case information: A 17-month-old female child was brought to Urgent Care Centre by her granddad as he noticed that the child was limping. The child was born during the pandemic and the health visitor checks were all over the phone. There was no history of any trauma. Radiographic appearances were consistent with developmental dysplasia of the right hip. Discussion: DDH is usually diagnosed at birth, however, missed cases can occur due to lack of repeated clinical examinations especially in view of the pandemic. Early diagnosis and treatment are very important as timely reduction permits normal modelling of the acetabulum and femoral head. Physical examination is the key in the diagnosis of DDH. Conclusion: Careful, repeated face to face clinical examination by healthcare provider in contact with the infant is essential throughout the first year of life to diagnose DDH early.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Missed Developmental Dysplasia of the Hip in a 17-Month-old Due to Virtual Health Visitor Checks During the Pandemic
    AU  - Atif Mukhtar
    AU  - Tom Jose
    AU  - Ayotunde Oguntade
    AU  - Thomas Mathew
    Y1  - 2022/03/18
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajhr.20221002.12
    DO  - 10.11648/j.ajhr.20221002.12
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 33
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20221002.12
    AB  - Background: Developmental Dysplasia of the hip (DDH) is a condition where the head of the femur is dislocated from its normal position and is usually diagnosed in the new-born. In this study we present a case of missed DDH in a 17-month-old child with characteristic X ray findings, to increase its awareness as early diagnosis and treatment can limit disability. Case information: A 17-month-old female child was brought to Urgent Care Centre by her granddad as he noticed that the child was limping. The child was born during the pandemic and the health visitor checks were all over the phone. There was no history of any trauma. Radiographic appearances were consistent with developmental dysplasia of the right hip. Discussion: DDH is usually diagnosed at birth, however, missed cases can occur due to lack of repeated clinical examinations especially in view of the pandemic. Early diagnosis and treatment are very important as timely reduction permits normal modelling of the acetabulum and femoral head. Physical examination is the key in the diagnosis of DDH. Conclusion: Careful, repeated face to face clinical examination by healthcare provider in contact with the infant is essential throughout the first year of life to diagnose DDH early.
    VL  - 10
    IS  - 2
    ER  - 

    Copy | Download

  • Sections